Journal of Musculoskeletal Trauma

A Clinical Study of the Comminuted Fracture of Patella: Il Yong Choi, Sung Joon Kim, Tai Seung Kim, In Mool Lee; J Korean Soc Fract 1996;9(3):631-639. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.631

Abstract PDF: Recently the fracture of patella especially comminuted fracture has increasing tendency due to frequent traffic accident. Because of the patella is an important functional component of the knee extensor mechanism, and proximal three-quarters of the posterior surface of the patella are covered with articular cartilage. accurate reduction and rigid fixation are important in treatment of the comminuted fracture of the patella. Some fractures were treated successfully by immobilization in a cylinder or an above-knee cast, but most patellar fractures should be treated surgically. Various techniques of internal fixation have been recommended for comminuted fractures of the patella, but best way should be selected out of various methiods case by case. In this series, 48 comminuted patella fractures between January, 1990 and April, 1995 have been reviewed at least 9 months after injury and obtained following results. 1. Peak age was third to fifth decade and predominant in men. 2. The major causes of the comminuted patella fractures were traffic accident in over-all, and slip down in sixth and seventh decades. 3. Most fractures were accompainied by other fractures. 4. fourteen patients had postoperative complications, six had patellofemoral osteoarthritis, three metal failure, two loss of reduction, two superficial infections and one malunion. 5. In long-term follow up, the factors that related to the range of motion of the affected knee were though to not the operative method but initial severity of the comminution and accampanied injury.

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Divergent Dislocation of elbow with Ipsilateral CollesFracture: Report of One Case: Sung Joon Kim, Kuhn Sung Whang, Jong Sun Leem, Oh Jae Kwon; J Korean Soc Fract 1995;8(2):419-422. Published online April 30, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.2.419

Abstract PDF: Divergent dislocation of divergent elbow is very rare and this in jury has been reported only 7 cases in English literatures. This injury was affected in the disruption of all three joints of elbow, such as the radiocapitellar, the ulnotrochlear and the proximal radioulnarjoint. According to Stimsons classification, there are two types ; anteroposterior and mediolateral. We experienced a case of the divergent dislocation of elbow with ipsilateral Collesfracture which were treated by closed reduction and cast immobilization. We obtained satisfactory result.

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Bilateral Subtrochanteric fracture After Pin Removal in Slipped Capital Femoral Epiphysis: A Case Report: Sung Joon Kim, Il Young Choi, Tai Seung Kim, Chung Kyu Choi; J Korean Soc Fract 1995;8(1):68-71. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.68

Abstract PDF: Subtrochanteric fracture of the femur has been infrequently reported after pin removal that is second operation for slipped capital femoral epiphysis and that fracture is a serious complication. We report a case of subtrochanteric fracture of the femur occured after pin removal that had been inserted for fixation of slipped capital femoral epiphysis. Its treatment was open reduction with condylar blade plate and screws. We recommend insertion of fewer pins and longer pins at higher level, early pin removal, avoidance of repeated insertion and use of cannulated pin screw instead of Knowles pin for prevention of subtrochanteric fracture after pin removal.

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Operative Treatment of Carpal Scaphoid Fractures with Herbert Screw: Sung Joon Kim, Kuhn Sung Whang, Jong Sun Leem; J Korean Soc Fract 1995;8(1):206-215. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.206

Abstract PDF: Carpal scaphoid fracture is most common in carpal bone injury, but its not easy to diagnose this fracture after affecting the damage, and also is not rane induced avasular neeresis and/or non-union. 13 cases of carpal scaphoid fractures (5 displaced fresh fractures and 8 non-unions) were treated by open reduction and internal fixation with Herbert screw and also cancellous bone graft taking from distal radius were performed on the cases of non-union. The results and conclusions were follows 1. Bony union takes average 11.8 weeks in displaced fresh fractures and average 14.4 weeks in non-unions. 2. By final assessment, excellent result was taken in 10 and good in 3. 3. It might be effective procedure for which cancellous bone was harvested from distal radius of same operative site. 4. Herbert srrew would be one of the good and rigid internal fixation device for the treatment of scaphoid fracture.

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Treatment of Bone Loss by Local Bone Transportation: A report 3 eases: Sung Joon Kim, Kuhn Sung Whang, Hyun Kee Chung, Ye So Park; J Korean Soc Fract 1992;5(2):410-416. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.410

Abstract PDF: We experienced the local bone transportation in 3 cases. with a dynamic axial fixator, which had been effected the large bone defects because of the loss of the bony segment or infected non-union. The 2 patients showed the large femoral bone defect after motorcycle accident and the other patient. The tibial infected nonunion with large bone defect. The two femoral bone defects were treated by callotasis, and the tibial bone defect by chondrodiatasis. The size of bony defects were 12.Ocm and 6.5cm and the amount of bony transportation were 10.Ocm, 9.4cm and 5.9cm in orthoroentgenogram. These local bone transportations induced excellent osteogenesls and it filled up the defects We suggest that local bone transportation might be one of the best ways for the treatment of the large bone defects.

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A Clinical Study on Open Fracture of the Shaft of the Ulna and Radius in Adults: Sung Joon Kim, Il Yong Choi, Kwang Hyun Lee, Do Gyoung Lee; J Korean Soc Fract 1992;5(2):309-318. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.309

Abstract PDF: We reviewed 55 cases of open fracture of the forearm bones had been treated by conservative treatment or open reduction and intramedullary nailing or internal fixation with dynamic compression plate and analyzed the results by wound management and methods of treatment.The results were obtained as follows ;1. In the type I,II and type III-A open fractures, primary closure of the wound was reliable method of treatment. 2. The non-union rate was 44% in the positive culture test and 14.8% in the negative culture test. 3. Immediate internal fixation with dynamic compression plate was reliable method in the treatment of the type I, II open fractures.

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Bipolar hemiarthroplasty as secondary procedure for femoral neck fractures in young adults: Sung Joon Kim, Il Yong Choi, Heung Ryong Oh; J Korean Soc Fract 1991;4(2):237-242. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.237

Abstract PDF: No abstract available.

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Treatment of supracondylar fractures of the humerus by percutaneouspinning in children: Sung Joon Kim, Jae Lim Cho, Euhn Sung Whang, Soo Tai Chung; J Korean Soc Fract 1991;4(1):30-36. Published online May 31, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.1.30

Abstract PDF: No abstract available.

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Supracondylar-Intercondylar Fracture of the Femur Treatment by Internal Fixation Using May Anatomical Contouring Plate: Sung Joon Kim, Jae Lim Cho, Hyun Kee Chung, Sung Ju Lee; J Korean Soc Fract 1990;3(2):180-188. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.180

Abstract PDF: Between Jan. 1988 and Dec. 1989, 15 supracondylar-intercondylar fractures of the femur were treated in the department of orthopaedic surgery, Hanyang University, College of medicine. The advantages of the May Anatomical contouring plate are: 1. The device is self-reducting, so the reduction of the fracture was easy. 2. The device facilitates good condylar fixation even in the osteoportic bone of the elderly patients without destruction of the fragment. 3. Distal end of the jplate is not heavy, so any problem of the soft tissue was not encountered. 4. A small amount of equipment and procedure was required, so the time of operation could be shortened. The results were as follows: 1. Seven patients were male and four patients were femal. 2. The fracture was caused by a motor-vehicle accident in eight cases, a fall in two cases, and slip down in two cases. 3. There were one I, two II, two II, eight III fractures according to Neer classification. 4. The method of treatment was open reduction and figid iinternal fixation using May anatomical contouring plate. 5. 50% fo good to excellent results were obtained according to Neer rating system. 6. Complications included delayed union(1 case) and metal failure(1 case).

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Yvascular Injuries Associated with Fracture and Dislocastion of the Knee: Sung Joon Kim, Il Yong Choi, Jae Lim Cho, Soo Tai Chung; J Korean Soc Fract 1990;3(1):40-45. Published online May 31, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.1.40

Abstract PDF: Injury of the popliteal artery associated with fracture and dislocastion of the knee is uncommon, But, when the fracture and dislocation of the knee occurs, it frequently associated with vascular injuries, and vascular injury can be a very serious one because of ischemia that necessitates amputation. Sixteen vascular injuries combined by fractures and dislocation of the knee between March, 1985 and February, 1989 have been reviewed and the results are as follows. 1. There were 11 cases of proximal tibial fracture, 2 cases of distal femoral fracture and 3 cases of knee dislocation. 2. The site of injury which is proximal to insertion of the soleus muscle were 15 cases. 3. There were contusion in 11 cases, rupture in 4 cases and laceration in 1 case. 4. One of the 2 cases(50%) that were treated within 12 hours after injury survived, while two to 10 cases(20%) that were treated after 24 hours following injury survived. 5. The open reduction and internal fixation was done in 5 cases, the skeletal traction in 1 case, and cast immobilization in 10 cases. 6. Finally, the B-K amputation was done in 4 cases, A-K amputation in 6 cases, knee disarticulation in 2 cases.

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